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The Navcompt 3065 form is an essential document for military personnel requesting leave from duty. This form serves multiple purposes, including the official authorization of leave and the tracking of leave balances. It requires the applicant to provide key information such as their Social Security Number, name, pay grade, and the specific type of leave being requested—whether it’s regular leave, sick leave, or an emergency. Additionally, the form includes sections for the dates and times of leave, ensuring that all details are clearly documented. Applicants must also certify that they have sufficient funds for round-trip travel and understand the implications of taking more leave than they can earn. The form emphasizes the importance of maintaining communication with command while on leave and outlines procedures for requesting extensions or reporting any changes in circumstances. Lastly, it includes a Privacy Act Statement to inform users about how their information will be handled. Proper completion and submission of the Navcompt 3065 are crucial for ensuring that leave requests are processed smoothly and efficiently.

Dos and Don'ts

When filling out the Navcompt 3065 form, there are several important dos and don’ts to keep in mind. Following these guidelines will help ensure your leave request is processed smoothly.

  • Do complete the form in ballpoint pen or typewriter to ensure legibility.
  • Do print or type your information clearly in the designated blocks.
  • Do request leave well in advance to allow for processing time.
  • Do keep your leave authorization with you at all times during your absence.
  • Don't discuss classified information or Navy matters publicly without proper clearance.
  • Don't assume your leave is approved until you receive confirmation from your commanding officer.
  • Don't neglect to report any serious illness or injury incurred while on leave to your commanding officer.

By adhering to these guidelines, you can help facilitate a more efficient leave request process and ensure compliance with military regulations.

Document Attributes

Fact Name Description
Form Purpose The NAVCOMPT 3065 form is used to request and authorize leave for military personnel.
Privacy Act Compliance This form includes a Privacy Act Statement, ensuring that personal information is handled according to federal regulations.
Completion Requirements The form must be filled out in triplicate, using a ballpoint pen or typewriter, ensuring all copies are legible.
Leave Balance Information Sections 17 and 18 require the leave balance and leave used to be obtained from the latest Leave and Earnings Statement.
Approval Process Leave requests must be approved by a reviewing officer and are not valid without a control number.
Governing Laws The form is governed by Title 10 and 37 of the United States Code, which outline military leave policies.

Key takeaways

Here are key takeaways regarding the Navcompt 3065 form, which is essential for requesting and authorizing leave:

  • Complete the Form Accurately: Fill out the Navcompt 3065 form in ballpoint pen or typewriter. Ensure that all copies are legible.
  • Submit in Triplicate: The form must be completed in triplicate. This means you will need three copies of the filled-out form.
  • Leave Dates Matter: Pay attention to the dates you enter. The start of your leave cannot be before the end of your normal workday if it falls on a workday.
  • Normal Working Hours: Provide your normal working hours for both the day of departure and the day of return. If either day is not a workday, indicate "NONE."
  • Leave Balance Information: You can find your leave balance in your Leave and Earnings Statement or from your commanding officer’s records.
  • Keep Communication Open: Maintain communication with your leave address. You must be reachable in case of an immediate recall.
  • Understand Your Responsibilities: If you need to extend your leave, you must communicate with your commanding officer. If you do not receive a response, consider your request denied.
  • Return the Authorization: Upon returning from leave, promptly return the original leave authorization to the designated office in your command.

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Example - Navcompt 3065 Form

LEAVE REQUEST/AUTHORIZATION

SEE PAGE 2 FOR

NAVCOMPT 3065 (REV. 01/2007)

INSTRUCTIONS FOR COMPLETING THIS FORM ARE ON PAGE 2.

PRIVACY ACT STATEMENT

1. DATE OF REQUEST

2. FOR ADMIN. USE ONLY

 

 

►

APPROVAL OF THIS LEAVE IS

LEAVE CONTROL NO.

 

 

 

 

 

NOT VALID WITHOUT CONTROL NO.

 

 

 

3. SSN

4.NAME (Last, First, MI)

5. PAYGRADE

6. SHIP/STATION

 

 

 

 

 

 

7. DEPT/DIV

8. DUTY SECTION

9. DUTY PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. TYPE LEAVE

 

 

 

 

 

 

FOR USE OUTUS ONLY

 

12. MODE OF TRAVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11a. Leaving Area of PERMDUTYSTA

 

AIR

BUS

REGULAR

 

SICK

 

EMERGENCY

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEPARATION

 

RETIREMENT

OTHER

 

11b. Taking Leave INCONUS

 

CAR

TRAIN

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

13. DAYS REQUESTED

14. FROM (Hour, Date) (YYMMDD)

15. TO (Hour, Date) (YYMMDD)

 

16. NORMAL WORKING HOURS

 

 

 

 

 

 

 

 

 

 

DAY OF DEPARTURE:

 

 

 

 

 

 

 

 

 

 

FROM:

TO:

17. LEAVE BALANCE

 

 

 

18. LEAVE USED THIS FY

19. LEAVE PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY OF RETURN:

 

DAYS AS OF

 

 

 

 

 

 

 

 

 

FROM:

TO:

 

 

 

 

 

 

 

 

 

 

20. LEAVE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. RATION STATUS (Enlisted)

 

 

 

 

 

 

 

 

 

 

COMMUTED RATIONS (COMRATS)

 

 

 

 

 

 

 

 

 

 

Meal Pass No.

 

 

 

 

 

 

 

 

 

 

 

 

Entitled to EDF meals except

 

 

 

 

 

 

 

 

 

 

during periods of leave

 

 

 

 

 

 

 

 

I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL. I UNDERSTAND

22. SIGNATURE OF APPLICANT

THAT SHOULD ANY PORTION OF THIS LEAVE, IF APPROVED, RESULT IN MY TAKING MORE LEAVE THAN I CAN

 

 

 

 

EARN ON MY CURRENT UNEXTENDED ENLISTMENT OR CURRENT ACTIVE DUTY OBLIGATION, MY PAY WILL BE

 

 

 

 

CHECKED FOR SUCH EXCESS LEAVE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECOMMENDED

 

 

 

 

 

 

DATE

 

 

 

NO

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. APPROVED

DISAPPROVED

REVIEWING OFFICER'S NAME AND SIGNATURE

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24. COMMENTS/REMARKS

25. SHIP OR STATION (Including telegraphic address)

26. REPORT ON EXPIRATION OF LEAVE TO (If other than block 25)

 

DEPARTED ON LEAVE

 

RETURNED FROM LEAVE

 

 

 

GRANTED EXTENSION OF LEAVE ENDING

 

27a. HOUR

27b. DATE (DD MMM YYYY)

28a. HOUR

28b. DATE (DD MMM YYY)

 

29a. HOUR

 

29b. DATE (DD MMM YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27c. OOD'S SIGNATURE

 

28c. OOD'S SIGNATURE

 

 

 

 

29c. AUTHORIZING OFFICER'S SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN CONSIDERATION OF THE MEMBER'S COMPLETION OF A FULL WORKDAY

 

30. INCLUSIVE

 

 

FIRST:

LAST:

 

31. NO.

 

 

 

 

 

OF

 

 

►

 

 

 

 

 

 

 

 

 

 

 

(AS DEFINED IN MILPERSMAN, NAVPERS 15560) ON THE DAYS OF DEPARTURE

 

 

(YY) (MM) (DD)

(YY) (MM) (DD)

 

 

LEAVE PERIOD

 

 

DAYS

 

AND RETURN, THE INCLUSIVE DAYS SHOWN ARE CORRECT AND PROPER FOR

TO BE

 

 

 

 

 

 

 

 

 

 

 

 

CHARGING AS LEAVE.

 

 

 

 

CHARGED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I CERTIFY THAT THE ABOVE IS

32. CERTIFYING OFFICER'S TYPED NAME/RANK/TITLE

 

 

33. CERTIFYING OFFICER'S SIGNATURE

 

CORRECT AND PROPER TO THE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BEST OF MY KNOWLEDGE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORWARD A COPY TO PERSONNEL OFFICE VIA COMMAND ONLY ON COMPLETION OF LEAVE.

Page 1 of 2

IMPORTANT

THIS IS YOUR "OFFICIAL" LEAVE AUTHORIZATION.

NOTICE !!

DO NOT DESTROY OR LOSE!

1.Leave is granted subject to immediate recall, therefore maintain communication with your leave address. Keep this leave authorization in your possession at all times. In the event of a general recall, individual orders may not be issued. Inform your commanding officer of permanent change of leave address.

2.Save sufficient money or obtain round-trip ticket to insure you have return transportation. Keep yourself informed of transportation schedules and weather conditions through your return route and make sufficient allowances for normal delays.

3.While it is desirable to tell the public about your Navy, do not discuss any subject unless you are certain it is unclassified. If you are asked to participate in a press conference, talk to reporters, or speak over the radio or television on matters pertaining to the naval service, and you are not certain that all your remarks are unclassified, consult with and obtain guidance of the commanding officer of the nearest naval unit prior to participation.

4.Cooperate with Military or Air Police, Shore Patrol, and civil authorities at all times. You are subject to orders of your superior officers in all branches of the U.S. Armed Forces. Be an outstanding Navy ambassador at all times.

5.If necessary to request an extension of leave, communicate with your commanding officer by telegram. SINCE YOU NEED

POSITIVE APPROVAL FOR REMAINING ABSENT BEYOND THE TIME ORIGINALLY AUTHORIZED, IF NO REPLAY IS RECEIVED YOU MUST CONSIDER YOUR REQUEST NOT APPROVED.

6.In case of serious illness or injury incurred while on leave which requires medical attention or hospitalization, report facts to your commanding officer. If in the immediate vicinity of a naval activity, such as recruiting station or naval station, advise them of your condition and status. You are advised that costs incident to hospitalization or medical treatment received at other than Federal medical activities (Army, Air Force, Public Health Service, or Veterans' Administration) may be defrayed by the Navy Department in EMERGENCY cases only.

7.In the event that conditions beyond your control indicate late return to the command to which you are ordered to report, obtain written evidence from transportation agency or others (physician, military or civil police, recruiting station, etc.) for consideration by your commanding officer.

8.Request leave sufficiently in advance to allow processing via official channels. Leave is computed as follows: The day of departure on leave, shall be counted as a day of duty, except when leave commences prior to the end of the normal workday; the day of return from leave shall be counted as a day of leave, except when such return is made at or before commencement of your normal workday in which case it shall be counted as a day of duty.

OPERATION DRIVESAFE REMINDER

Statistics show the major causes of motor vehicle accidents are attributable to:

Excessive speed

Intoxicating liquor, and

Driving while fatigued or sleepy.

PLAN YOUR TRIP CAREFULLY. Be sure you allow yourself sufficient travel time and keep your travel to a minimum during hours of darkness.

INSTRUCTIONS FOR COMPLETING THE LEAVE REQUEST PORTION OF THIS FORM

1.Completion of this form must be in ballpoint or typewriter. The form must be completed in triplicate with all copies egible.

2.Print or type the appropriate data in blocks 1, and 3 through 21. Leave block 2 blank.

3.When completing blocks 14 and 15, follow these rules:

a.Block 14 - The hour for starting leave may not be prior to the end of your normal workday if leave starts on a workday. If leave starts ona non-workday, the starting hour may be 0001 if not contrary to command policy.

b.Block 15 - The hour for ending leave may not be later than the beginning of your normal workday if the day of return is a workday. If leave ends on a non-workday, the ending hour may be 2400 if not contrary to command policy.

4.Block 16 requires the following information:

Normal working hours for day of departure.

Normal working hours for day of return.

If day of departure or return is not a workday, enter "NONE"

5.Information required in blocks 17 and 18 may be obtained from Block 59 of your latest Leave and Earnings Statement or from your activity's Commanding Officer's Leave Listing.

6.You are advised that you must immediately return your original leave authorization to the appropriate office designated by your command upon return from leave.

PRIVACY ACT STATEMENT

This statement is provided in compliance with the provisions of the Privacy Act of 1974 (PL 93-579) which require that Federal agencies must inform individuals who are requested to furnish information about themselves as to the following facts concerning the information requested.

1.AUTHORITY: Title 10 and 37 USC.

2.PRINCIPAL PURPOSE(S): To authorize military leave of absence.

3.ROUTINE USE(S): To deduct leave taken from member's accrued leave balance. To pay leave rations to enlisted members.

4.MANDATORY OR VOLUNTARY DISCLOSURE: Voluntary. If the member does not request a specific period of leave and furnish his leave address, leave is not granted.

Page 2 of 2

Detailed Instructions for Writing Navcompt 3065

Filling out the Navcompt 3065 form is an important step in requesting leave. It is essential to provide accurate information to ensure your request is processed smoothly. Follow these steps carefully to complete the form correctly.

  1. Date of Request: Write the date you are submitting the form.
  2. SSN: Enter your Social Security Number.
  3. Name: Fill in your last name, first name, and middle initial.
  4. Paygrade: Indicate your current pay grade.
  5. Ship/Station: Write the name of your ship or station.
  6. Dept/Div: Specify your department or division.
  7. Duty Section: Enter your duty section.
  8. Duty Phone: Provide your duty phone number.
  9. Type of Leave: Check the appropriate box for the type of leave you are requesting.
  10. Mode of Travel: Indicate how you plan to travel.
  11. Days Requested: Write the total number of leave days you are requesting.
  12. From: Enter the hour and date you plan to start your leave.
  13. To: Enter the hour and date you plan to return from leave.
  14. Normal Working Hours: Fill in your normal working hours for the day of departure and return.
  15. Leave Balance: Provide your current leave balance.
  16. Leave Used This FY: Indicate how much leave you have used this fiscal year.
  17. Leave Phone: Provide a phone number where you can be reached during leave.
  18. Leave Address: Write your address where you will be during your leave.
  19. Signature of Applicant: Sign and date the form to certify the information is correct.
  20. Comments/Remarks: Use this section for any additional notes or comments.

After completing the form, ensure that all information is legible and accurate. You will need to submit the form to the appropriate office designated by your command. Keep a copy for your records, as it serves as your official leave authorization. Remember to maintain communication with your leave address during your time away.

Documents used along the form

The Navcompt 3065 form is essential for service members requesting leave. However, it is often accompanied by other important documents that help facilitate the leave process. Below is a list of commonly used forms and documents that complement the Navcompt 3065 form. Each document plays a vital role in ensuring that the leave request is processed smoothly and efficiently.

  • Leave and Earnings Statement (LES): This document provides a detailed breakdown of a service member's pay, including leave balances. It is crucial for verifying the amount of leave available before submitting a leave request.
  • Travel Orders: Issued by a commanding officer, these orders authorize travel for a specific purpose. They are necessary for service members who are traveling on official duty or to ensure that their leave aligns with operational requirements.
  • Medical Documentation: In cases of emergency leave or medical-related absences, documentation from a healthcare provider may be required. This ensures that the leave is justified and properly recorded.
  • Extension Request Form: If a service member needs to extend their leave, this form must be submitted to the commanding officer. It is critical to secure approval for any additional time away from duty.
  • Child Support Texas Form: This legal document outlines a parent's obligations to provide financial support for their children, specifying payment amounts and conditions. For resources and templates related to this form, visit Texas Forms Online.
  • Notification of Absence: This document serves to inform the command of a service member's absence. It is important for maintaining clear communication and ensuring that the command is aware of the member's status while on leave.

Each of these documents plays a significant role in the leave process for service members. Properly completing and submitting them alongside the Navcompt 3065 form can help prevent delays and ensure that leave requests are handled efficiently. Timely submission is essential to avoid complications and maintain operational readiness.